Individual
DR. CARLOS RICARDO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5600 N AIRPORT RD, MILTON, FL 32583-8658
(850) 623-4151
(850) 623-5154
Mailing address
5600 N AIRPORT RD, MILTON, FL 32583-8658
(850) 623-4151
(850) 623-5154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 41831
FL
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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